Waltham Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1644 Issued in MA

Legal business name

WALTHAM CHIROPRACTIC PC

Practice address

425 River St
Waltham, MA 02453

Phone

(781) 894-4270

Fax

(781) 894-0461

NPI assigned

Feb 20, 2007

Last updated

Dec 21, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John Cassidy Duffy, DCNPI 1942481627

Title

Dr President

Phone

(781) 894-4270

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr John Duffy Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Cassidy Duffy, D.C.

  • Chiropractor
  • Waltham, MA
  • NPI 1942481627
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261353600000",
    "number": "1689719502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 RIVER ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "02453",
            "telephone_number": "781-894-4270",
            "fax_number": "781-894-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 RIVER ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "02453",
            "telephone_number": "781-894-4270",
            "fax_number": "781-894-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTHAM CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2009-12-21",
        "status": "A",
        "authorized_official_last_name": "DUFFY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CASSIDY",
        "authorized_official_title_or_position": "DR PRESIDENT",
        "authorized_official_telephone_number": "781-894-4270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "1644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79917",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr John Duffy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Savannah Skye Walker, LCSW
• Stacy Walker, FNP-BC
• Kristen Wallace
• Samuel Joseph Walsh, MA
• Waltham Behavioral Health LLC
• Waltham Committee, Inc (WCI-Work Community Independence)
• Waltham Dental Group
• Waltham Diabetes Center, LLC
• Waltham Dialysis LLC (The Dialysis Center at Waltham)
• Waltham Drug LLC (Watch City Pharmacy)

• Chiropractor in Waltham, MA
• Providers in Waltham, MA by specialty
• Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.